Implantable sensor lead

• US 8,133,186 B2
• Filed: 01/12/2006
• Issued: 03/13/2012
• Est. Priority Date: 01/12/2006
• Status: Active Grant

• Current Assignee: St. Jude Medical AB (Abbott Laboratories)
• Original Assignee: St. Jude Medical AB (Abbott Laboratories)
• Inventors: Sven-Erik, Hedberg, Lagercrantz, Per
• Primary Examiner(s): Manuel, George
• Assistant Examiner(s): Wieland, Robert
• Application Number:
  US12/160,666
• Publication Number:
  US 20090253993A1
• Time in Patent Office: 2,252 Days
• Field of Search: 600/508, 600/425
• US Class Current: 600/508
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• CPC Class Codes: A61N 1/365 controlled by a physiological parameter, e.g. heart potential evoked response A61N1/371
• CPC Class Codes: A61N 2001/0585 Coronary sinus electrodes

Abstract

In an implantable sensor lead for sensing mechanical cardiac activity of a heart, as well as a sensing method and a cardiac stimulator embodying such a sensor lead, multiple cardiac activity sensing elements are distributed along a portion of a length of the lead body of the implantable lead. The sensing elements sense or detect mechanical cardiac activity and respectively emit electrical signals corresponding to the detected mechanical cardiac activity. The delivery of cardiac stimulation pulses can be controlled dependent on an analysis of the detected mechanical cardiac activity.

Claims

1. An implantable sensor lead comprising:

a lead body having a lead body length; and

a plurality of mechanical cardiac activity sensing elements distributed along a portion of said lead body length that are each configured to be in direct contact with tissue in the heart of a patient in whom the lead body is implanted and to individually detect mechanical cardiac activity of the heart of the patient in whom the lead body is implanted exclusively by interaction with said tissue due to said direct contact with said tissue, and each of said sensing elements emitting an electrical signal representing the mechanical cardiac activity directly detected thereby, said plurality of mechanical cardiac activity sensing elements, in combination, directly detecting mechanical cardiac activity of the heart of the patient over an extended region of the heart substantially corresponding to said portion of said length of said lead body.

2. An implantable sensor lead as claimed in claim 1 comprising two electrical conductors in said cardiac lead body, and wherein all of said plurality of sensing elements are electrically connected in parallel between said two conductors.

3. An implantable sensor lead as claimed in claim 1 comprising a plurality of electrical conductors in said lead body corresponding in number to said plurality of mechanical cardiac activity sensing elements, said plurality of electrical conductors being respectively connected to said plurality of mechanical cardiac activity sensing elements individually.

4. An implantable sensor lead as claimed in claim 1 wherein said lead body is configured for implantation in the right ventricle of the heart.

5. An implantable sensor lead as claimed in claim 1 wherein said lead body is configured for implantation in a coronary vein at a left side of the heart.

6. An implantable sensor lead as claimed in claim 5 wherein said lead body is configured for implantation in the coronary sinus vein.

7. An implantable sensor lead as claimed in claim 1 wherein said lead body is configured for implantation in an interventricular vein of the heart.

8. An implantable sensor lead as claimed in claim 1 wherein said plurality of sensing elements are arranged over a portion of said length of said lead body comprising 5 to 10 cm.

9. An electronic medical device comprising:

an implantable sensor lead comprising a lead body having a lead body length, and a plurality of mechanical cardiac activity sensing elements distributed along a portion of said lead body length that are each configured to be in direct contact with tissue in the heart of a patient in whom the lead body is implanted and to individually detect mechanical cardiac activity of the heart of the patient in whom the lead body is implanted exclusively by interaction with said tissue due to said direct contact with said tissue, and each of said sensing elements emitting an electrical signal representing the mechanical cardiac activity directly detected thereby, said plurality of mechanical cardiac activity sensing elements, in combination, directly detecting mechanical cardiac activity of the heart of the patient over an extended region of the heart substantially corresponding to said portion of said length of said lead body; and

a processor supplied with said signals emitted by said mechanical cardiac activity sensing elements, said processor analyzing said signals and identifying an attribute of said mechanical cardiac activity therefrom, and emitting a processor output signal indicative of said attribute.

10. A medical device as claimed in claim 9 wherein said signal processor comprises a summing unit that adds the respective signals emitted by said plurality of mechanical activity sensing elements.

11. A medical device as claimed in claim 10 wherein said processor comprises a sensor interface that interfaces said processor with said plurality of mechanical cardiac activity sensing elements, and wherein said summing unit is located in said sensor interface.

12. A medical device as claimed in claim 11 wherein said processor is configured to identify an electrical signal pattern caused by progressive emission of respective signals by the respective cardiac activity sensing elements.

13. An implantable cardiac stimulator comprising:

a pulse generator configured to deliver electrical stimulation pulses to the heart of a patient;

an implantable sensor lead comprising a lead body having a lead body length, and a plurality of mechanical cardiac activity sensing elements distributed along a portion of said lead body length that are each configured to be in direct contact with tissue in the heart of a patient in whom the lead body is implanted and to individually detect mechanical cardiac activity of the heart of the patient in whom the lead body is implanted exclusively by interaction with said tissue due to said direct contact with said tissue, and each of said sensing elements emitting an electrical signal representing the mechanical cardiac activity directly detected thereby, said plurality of mechanical cardiac activity sensing elements, in combination, directly detecting mechanical cardiac activity of the heart of the patient over an extended region of the heart substantially corresponding to said portion of said length of said lead body;

a processor supplied with said signals emitted by said mechanical cardiac activity sensing elements, said processor analyzing said signals and identifying an attribute of said mechanical cardiac activity therefrom, and emitting a processor output signal indicative of said attribute; and

said processor being configured to control said stimulation pulse generator dependent on the detected and analyzed mechanical cardiac activity.

14. An implantable cardiac stimulator as claimed in claim 13 wherein said lead body comprises two conductors therein, with said plurality of mechanical cardiac activity sensing elements being electrically connected in parallel between said two conductors, and wherein one of said conductors is connected to said stimulation pulse generator to conduct stimulation pulses emitted by said stimulation pulse generator, and the other of said two conductors is independent of said stimulation pulse generator.

15. A method for sensing mechanical cardiac activity of a heart comprising the steps of:

implanting a sensor lead, comprising a lead body having a length with a plurality of cardiac activity sensing elements distributed along a portion of said length, in the heart of a patient to place each of said sensing elements indirect contact with tissue in the heart;

with each of said sensing elements, detecting mechanical cardiac activity of the heart exclusively by interaction with said tissue due to said direct contact with said tissue; and

from each of said sensing elements, emitting an electrical signal representing the mechanical cardiac activity directly detected thereby to produce a collection of respective electrical signals from said sensing elements that, in combination, represent the directly detected mechanical activity of the heart over an extended region of the heart, substantially corresponding to said portion of said length.

16. A method as claimed in claim 15 comprising sensing said mechanical cardiac activity individually with respective mechanical cardiac activity sensing elements in said plurality of mechanical cardiac activity sensing elements.

17. A method as claimed in claim 15 comprising summing respective electric signals from said plurality of mechanical cardiac activity sensing elements.

18. A method as claimed in claim 15 comprising automatically electronically analyzing respective electrical signals from said plurality of mechanical cardiac activity sensing elements to identify a pattern representing propagation of said mechanical cardiac activity in the heart.

19. A method as claimed in claim 15 comprising implanting said lead body in the right ventricle of the heart, and sensing said mechanical cardiac activity over an extended region of said right ventricle.

20. A method as claimed in claim 15 comprising implanting said lead body in a coronary vein at a left side of the heart, and sensing said mechanical cardiac activity over an extended region surrounding the coronary vein.

21. A method as claimed in claim 20 comprising implanting said lead body in the coronary sinus vein, and automatically electronically analyzing mechanical cardiac activity detected by said plurality of mechanical cardiac activity sensing elements to identify movement of the valve plane of the heart.

22. A method as claimed in claim 15 comprising implanting said lead body in an interventricular vein of the heart, and sensing said mechanical cardiac activity in an extended region surrounding said interventricular vein.

23. A method as claimed in claim 15 comprising distributing said plurality of mechanical cardiac activity sensing elements along said portion of said length comprising 5 to 10 cm.